Emotional Support Animal (ESA) & Clinical Evaluation Letters in Texas

You’re not looking for a loophole. You’re looking for support that actually helps.

  • Two dogs sitting on a wooden deck, facing a serene lake view, with a bird feeder hanging near them and a grassy field in the background.

    EMOTIONAL SUPPORT ANIMAL (ESA) LETTERS

    Emotional Support Animals provide emotional assistance to their handlers and may qualify as an ESA as long as the animal does not cause a disturbance or undue hardship for the property owner.

    For a person to legally qualify for an Emotional Support Animal (ESA), they must be considered emotionally disabled by a licensed mental health professional. This means the person must meet the criteria for a diagnosis in the Diagnostic and Statistical Manual 5 (DSM 5).

  • Rainbow pride flag waving against a blue sky with clouds.

    GENDER AFFIRMING MENTAL HEALTH ASSESSMENTS (GAMHA)

    Assessments and letters are provided for the following purposes:

    Gender Confirmation Surgery (GCS)

    Hormone Replacement Therapy (HRT)

    Legal Name Change

    Legal Gender Marker Change

Book Your Clinical Evaluation Letter Here

ESAs: Frequently Asked Questions

  • An Emotional Support Animal (ESA) letter is not a certification or registration.

    It is a clinical document written by a licensed mental health professional stating that:

    • You have a qualifying mental health condition

    • Your animal provides support related to that condition

    • The support is clinically relevant to your functioning

    ESA letters are most commonly used for housing accommodations under the Fair Housing Act (FHA).

  • I do not provide “quick ESA letters.”

    I provide comprehensive clinical evaluations to determine whether an ESA letter is appropriate.

    That means:

    • We assess your mental health history and current symptoms

    • We explore how your animal supports your functioning

    • We determine whether clinical criteria are met

    If those criteria are met, I can provide documentation.

    If they are not, I will be honest about that.

    Letters are not guaranteed. Ethical care is.

  • Who This Is For

    This may be a good fit if:

    • You are experiencing anxiety, burnout, trauma-related symptoms, or emotional overwhelm

    • Your animal meaningfully supports your ability to function day-to-day

    • You want a legitimate, clinically sound evaluation

    • You are open to a process, not just a transaction

  • Step 1: Initial Appointment

    We meet for a clinical evaluation (virtual).
    This is not a formality—it is an actual assessment.

    Step 2: Clinical Determination

    I determine whether an ESA letter is clinically appropriate based on:

    • Diagnostic considerations

    • Functional impact

    • Ethical and legal standards

    Step 3: Documentation (If Appropriate)

    If criteria are met, you will receive:

    • A professionally written ESA letter

    • Documentation aligned with current guidelines

  • Fees

    • ESA / Clinical Evaluation: $150 for 45-60 minute session

    • Documentation: Three pages are included with the appointment. If further docuentation is needed, it is billed in 15-minute increments at $150/hour.

    Payment is due at the time of service.
    This service is private pay only and not billed to insurance.